对于盆腔器官脱落的阴道囊的自我管理:与TOPSY随机对照试验相关的多方法过程评估
Carol Bugge1,2, Melanie Dembinsky3,4, Aethele Khunda5
1Research Centre for Health, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, G3 OBA, UK. carol.bugge@gcu.ac.uk.
BMC medicine
|December 5, 2025
概括
对于骨盆器官脱落而言,Pessary的自我管理是可以接受的,并增强了女性的力量.
科学领域:
- 泌尿后科和盆腔健康
- 妇女健康研究 妇女健康研究
- 医疗保健 实施 科学 科学
背景情况:
- 盆腔器官倒退严重影响全球妇女的生活质量.
- 阴道是主要的治疗方法,但对自我管理的证据有限.
- 了解患者和医疗服务提供者的经验,对于患者和医疗服务提供者的经验至关重要.
研究的目的:
- 评价阴道阴道管的自我管理与临床护理的可接受性,有效性,忠实性和坚持性.
- 探索自我管理如何影响女性的生活,以及她们对管理流产的信心.
- 识别影响鱼自我管理成功实施的因素.
主要方法:
- 一个嵌入在英国随机对照试验中的多方法过程评估.
- 数据收集包括预约记录,后续电话,忠诚度清单和与女性和医疗保健专业人员的采访.
- 分析包括来自770多名参与者的定性和定量数据和156个忠诚度检查清单.
主要成果:
- 皮肤病自我管理被发现是可以接受的,女性报告在管理皮肤病问题上提高了自我效能和信心.
- 在自我管理和临床基组中,依从程度各不相同,受盘相关并发症的影响.
- 妇女和医疗保健专业人员的积极态度是成功实施的关键,在各组之间的信心水平上发现了差异.
结论:
- 这项研究为悲观的自我管理提供了第一个程序理论,强调了它的可接受性.
- 开发的程序理论可以指导自我管理的整合到常规的临床实践.
- 建议进行进一步的研究,以促进悲观的自我管理策略的广泛采用.
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